Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1083604599 Individual Practitioner Male Practitioner

Dr. Corwin Jay Keltner , DDS, PPA

Dentist • Ogden, UT

Professional Overview & Biography Verified Profile Summary

Dr. Corwin Keltner, DDS, PPA is a registered healthcare professional specializing in Dentist in Ogden, UT. Practice services are available at 5974 FASHION POINT DR STE 210 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5974 Fashion Point Dr Ste 210

Ogden, UT 844034842

Telephone 8014756121
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Ogden, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.0 Yrs
Regional Practice Density
30 Specialists

Practicing in Ogden, UT (758 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-12-11
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License UT 323334-9922

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License KS 60068

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
100392360B (KS)
Commercial Insurance / Payer ID Blue Cross Blue Shield Id
116645 (KS)

Secondary Practice Locations

1445 N 400 E Ste 34

Logan, UT 843417564

Phone: 4357521699

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Gary Karen

Dentist - Endodontics

NPI 1205997988
NPI 1326423872

Doctor of Dental Medicine

Dr. William Fisher , DDS

Dentist - General Practice

NPI 1356339386

Doctor of Dental Surgery

Terrell Woodmansee

Dentist - General Practice

NPI 1821159567

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location December 11, 2022

Registered at 5974 FASHION POINT DR STE 210, OGDEN, UT 844034842 (Tel: 8014756121)

📍
Updated Business Mailing Address December 11, 2022

Registered at 33 CANTERBURY LN, LOGAN, UT 843216714 (Tel: 4357732529)

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 1133 E KANSAS AVE, GARDEN CITY, KS 678465864 (Tel: 6202767681)

📍
Updated Business Mailing Address July 09, 2007

Registered at 1133 E KANSAS AVE, GARDEN CITY, KS 678465864 (Tel: 6202767681)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as CORWIN KELTNER, DDS, PPA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dentist (License #60068 in KS)

🟢
Initial NPI Registration & Enumeration October 26, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083604599
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 26, 2005
Last Update: December 11, 2022
Sole Proprietor: No

Mailing Address

33 Canterbury Ln

Logan, UT 843216714

Phone: 4357732529

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.